Boone Community School District
Seniors - Physical Education Waiver
2022-2023
Student Name________________________________ Grade: _____________
I have received a physical education waiver for the 22-23 school year for the following reason:
1.______ I have a full academic schedule (including DMACC courses).
Requires counselor signature:____________________________
2.______ Off campus schooling or school EDGE experience with a full academic load.
Requires counselor signature:____________________________
3. _____ I participate in the following Boone High School Athletic programs. Students who are waived for athletics may only have one free period during the school day for each semester.
Fall Sport____________________________
Season starts ________, ends_________, ______________minutes per week
Winter Sport__________________________
Season starts_________, ends_________, ______________minutes per week
Spring Sport _______________________
Season starts ________, ends_________, ______________minutes per week
ALL WAIVERS MUST BE RETURNED TO THE PRINCIPAL WITHIN THE FIRST TWO WEEKS OF EACH SEMESTER TO BE WAIVED
IF A STUDENT FAILS TO COMPLETE THE ATHLETIC SEASON OR DROPS A CLASS AND DISCONTINUES TO HAVE A FULL CLASS LOAD THE WAIVER WILL BE NULL AND VOID AND THE STUDENT WILL BE REQUIRED TO MAKE UP THE PHYSICAL EDUCATION CREDIT
Student Signature__________________________________ Date_________________
Parent Signature___________________________________ Date_________________
Principal Signature_________________________________ Date_________________